RESUMO
The prevalence of refractory arterial hypertension in Russia is estimated at 15%. We report the first experience with surgical treatment of this pathology. The method is based on the reduction of activity of the sympathetic nervous system by selective breaking of connections between of neurons with the help of interventional intravascular radiowave ablation. Renal endovascular sympathetic denervation allows to more effectively control AP and optimize antihypertensive therapy but does not ensure recovery from AH.
Assuntos
Cateterismo Periférico/métodos , Denervação/métodos , Procedimentos Endovasculares/métodos , Hipertensão/cirurgia , Artéria Renal , Adulto , Anti-Hipertensivos/uso terapêutico , Resistência a Medicamentos , Humanos , Hipertensão/tratamento farmacológico , Hipertensão/fisiopatologia , Masculino , Artéria Renal/inervação , Artéria Renal/cirurgia , Resultado do Tratamento , Sistema Vasomotor/cirurgiaRESUMO
Great experience of Burdenko N.N. Main military-and-clinical hospital angiographic research department's work is systemized. On the base of retrospective analysis of 1621 medical cards the evaluation of the nearest and distant treatment results, its efficiency, and importance of roentgenoendovascular surgery in the system of specialized medical care is presented. Conclusions on the far perspectives of this direction's development in a diversified hospital were drawn..